Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Failing to protect your mobile network: The cost for hospitals

When it comes to protecting your hospital's mobile network, you can either pay now, or pay later.

With fee to use looming, states eye other options

Now that the federal government plans to charge some states a fee to use, officials in those states are trying to decide how they want to manage certain functions of their health insurance marketplaces and are considering collaborating with other states, the  National Journal  reports.  

AHIP joins campaign to lobby against Medicare Advantage cuts

America's Health Insurance Plans is flexing its lobbying muscle in an effort to galvanize 2 million Medicare Advantage beneficiaries to convince the federal government not to cut their benefits, according to an announcement from the Coalition for Medicare Choices.  

For better network adequacy measures, turn to social network analysis

As policymakers create and update rules for health plan network adequacy, they would be wise to look to the tools of social network analysis to guide their efforts, experts write in a post for the  Health Affairs  blog.  

Drug crisis antidote: Better reimbursement for methadone clinics

A Senator from Maine is proposing the state provide more public funding for methadone clinics in order to effectively treat opiate addiction, according to the  Portland Press Herald. 

The other 1 percent: Malpractice payouts more concentrated than previously thought

About 1 percent of physicians account for almost one-third (32 percent) of all malpractice claims paid on behalf of physicians, according to an analysis of 10 years' worth of data from the National Practitioner Data Bank published in the  New England Journal of Medicine. What's more, the researchers discovered that many of these claims can be attributed to a small number of repeat offenders.

CMS explains how it arrives at its hospital star ratings

The Centers for Medicare & Medicaid Services explained how it arrived at the 2016 star ratings in a report describing its methodology for calculating overall hospital quality

3 preparation tips to head off 'explosive' Zika pandemic

Warning of the "explosive pandemic potential" of the mosquito-borne Zika virus, health officials said the United States and other countries need to fund and enact several measures to try to head off spread of the virus.

Few states score well on medical marijuana access

Just as medical marijuana laws vary from state to state, so too do programs' effectiveness in meeting patient needs, according to a new report.

House v. Burwell: What it means for insurers if the plaintiffs win

If the plaintiffs prevail in the challenge to the Affordable Care Act's cost-sharing reductions,  House v. Burwell, it could cause significant disruption to the ACA's non-group insurance marketplaces, according to a new report from the Urban Institute